Twenty nail onychomadesis: An unusual finding in Cronkhite–Canada syndrome  Bianca Maria Piraccini, MD, Giulia Rech, MD, Andrea Sisti, MD, Sara Bellavista,

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Twenty nail onychomadesis: An unusual finding in Cronkhite–Canada syndrome  Bianca Maria Piraccini, MD, Giulia Rech, MD, Andrea Sisti, MD, Sara Bellavista, MD  Journal of the American Academy of Dermatology  Volume 63, Issue 1, Pages 172-174 (July 2010) DOI: 10.1016/j.jaad.2009.04.036 Copyright © 2008 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Vitiligo- and lentigo-like macules of the digits (photograph taken in November 2006). The nails show onychomadesis at a distance of about 3 mm from the lunula. A few nail plates have been lost. Journal of the American Academy of Dermatology 2010 63, 172-174DOI: (10.1016/j.jaad.2009.04.036) Copyright © 2008 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A short, transverse nail plate separates two bands of onychomadesis, indicating recurrence of matrix damage (photograph taken in February 2007). Journal of the American Academy of Dermatology 2010 63, 172-174DOI: (10.1016/j.jaad.2009.04.036) Copyright © 2008 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 The typical nail changes of Cronkhite–Canada syndrome: thin and soft triangular nail plate. (Photograph courtesy of Dr C. Bunker, London, United Kingdom.) Journal of the American Academy of Dermatology 2010 63, 172-174DOI: (10.1016/j.jaad.2009.04.036) Copyright © 2008 American Academy of Dermatology, Inc. Terms and Conditions